Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.31 / $1,614.00 / $4,100.00	Facility		$103.31	$1,614.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $284.33 / $2,432.00 / $4,141.50	Facility	50	$284.33	$2,432.00	$4,141.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $103.31 / $314.70	Professional		$54.61	$103.31	$314.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.03 / $472.07 / $508.70	Professional	50	$18.03	$472.07	$508.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $65.54 / $1,410.00	Professional		$59.94	$65.54	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $136.37 / $280.26	Professional		$74.00	$136.37	$280.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $228.60 / $228.60	Professional		$122.14	$228.60	$228.60
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $173.14 / $306.61	Professional		$85.81	$173.14	$306.61